Laparoscopic-assisted one-stage resection of rectal cancer with synchronous liver metastasis utilizing a pfannenstiel incision

Aljiffry, Murad; Alrajraji, Mawaddah; Al-Sabah, Suleiman; Hassanain, Mazen

doi:10.4103/1319-3767.141694

Cited by 3 publications

(3 citation statements)

References 18 publications

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“…Although the optimal strategy for resectable CRC with SLMs has not been established yet, the one-stage approach for simultaneous colectomy and hepatectomy gives the advantages to avoid two surgical procedures thus reducing risk for patient and costs for the community while keeping acceptable morbidity and good oncologic results [ 13 , 35 ]. Recently, MIA for simultaneous resection of CRC and SLMs has become popular [ 10 , 29 , 31 , 33 , 36 ]. Modern combined MIA, by laparoscopic and/or with robotic assistance, although being in its preliminary phase of experiences, has been showed to be feasible and safe even in cases requiring major liver resections [ 21 , 25 , 30 , 36 ].…”

Section: Discussionmentioning

confidence: 99%

Simultaneous Minimally Invasive Treatment of Colorectal Neoplasm with Synchronous Liver Metastasis

Garritano

Selvaggi²,

Spampinato

2016

BioMed Research International

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Purpose. To analyse perioperative and oncological outcomes of minimally invasive simultaneous resection of primary colorectal neoplasm with synchronous liver metastases. Methods. A Medline revision of the current published literature on laparoscopic and robotic-assisted combined colectomy with hepatectomy for synchronous liver metastatic colorectal neoplasm was performed until February 2015. The specific search terms were “liver metastases”, “hepatic metastases”, “colorectal”, “colon”, “rectal”, “minimally invasive”, “laparoscopy”, “robotic-assisted”, “robotic colorectal and liver resection”, “synchronous”, and “simultaneous”. Results. 20 clinical reports including 150 patients who underwent minimally invasive one-stage procedure were retrospectively analysed. No randomized trials were found. The approach was laparoscopic in 139 patients (92.7%) and robotic in 11 cases (7.3%). The rectum was the most resected site of primary neoplasm (52.7%) and combined liver procedure was in 89% of cases a minor liver resection. One patient (0.7%) required conversion to open surgery. The overall morbidity and mortality rate were 18% and 1.3%, respectively. The most common complication was colorectal anastomotic leakage. Data concerning oncologic outcomes were too heterogeneous in order to gather definitive results. Conclusion. Although no prospective randomized trials are available, one-stage minimally invasive approach seems to show advantages over conventional surgery in terms of postoperative short-term course. On the contrary, more studies are required to define the oncologic values of the minimally invasive combined treatment.

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Section: Discussionmentioning

confidence: 99%

Simultaneous Minimally Invasive Treatment of Colorectal Neoplasm with Synchronous Liver Metastasis

Garritano

Selvaggi²,

Spampinato

2016

BioMed Research International

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“…Многоцентровыми рандомизированными исследо-ваниями доказано отсутствие различий в непосредст-венных и отдаленных результатах частоты возникнове-ния рецидивов и метастазов между лапароскопически ми и открытыми хирургическими вмешательствами [17][18][19]. В последнее время все больше появляется работ, де-монстрирующих возможность внедрения лапароско-пических методов при лечении метастатического КРР [20][21][22][23][24][25]. Так, по мнению Y. Miyamoto [20], лапароско-пическая резекция первичной опухоли при генерали-зованном КРР является возможной и безопасной, а Z. Zhu и соавт.…”

Section: Discussionunclassified

Simultaneous Hybrid Laparoscopic Rectum Extirpation and Open Liver Resection in Case of Cancer With Synchronous Distant Metastases: A Case Report

Расулов¹,

Алиев²,

Подлужный³

et al. 2016

Onkol. koloproktol.

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“…No study compared the outcome of procedures performed by one or two teams together. In only 14 of the 31 papers considered for the present analysis, the authors stated whether the surgical procedure was performed by one team (n = 6) [44,91,112,[163][164][165]; two teams (n = 6) [36,41,43,94,166,167]; or by both (n = 2, multi-institutional studies) [24,26]. All series reported favourable outcome, independently of the adoption of one-team or two-team policy.…”

Section: Grade Of Recommendation Cmentioning

confidence: 99%

The Italian Consensus on minimally invasive simultaneous resections for synchronous liver metastasis and primary colorectal cancer: A Delphi methodology

et al. 2021

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At the time of diagnosis synchronous colorectal cancer, liver metastases (SCRLM) account for 15-25% of patients. If primary tumour and synchronous liver metastases are resectable, good results may be achieved performing surgical treatment incorporated into the chemotherapy regimen. So far, the possibility of simultaneous minimally invasive (MI) surgery for SCRLM has not been extensively investigated. The Italian surgical community has captured the need and undertaken the effort to establish a National Consensus on this topic. Four main areas of interest have been analysed: patients' selection, procedures, techniques, and implementations. To establish consensus, an adapted Delphi method was used through as many reiterative rounds were needed. Systematic literature reviews were conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses instructions. The Consensus took place between February 2019 and July 2020. Twenty-six Italian centres participated. Eighteen clinically relevant items were identified. After a total of three Delphi rounds, 30-tree recommendations reached expert consensus establishing the herein presented guidelines. The Italian Consensus on MI surgery for SCRLM indicates possible pathways to optimise the treatment for these patients as consensus papers express a trend that is likely to become shortly a standard procedure for clinical pictures still on debate. As matter of fact, no RCT or relevant case series on simultaneous treatment of SCRLM are available in the literature to suggest guidelines. It remains to be investigated whether the MI technique for the simultaneous treatment of SCRLM maintain the already documented benefit of the two separate surgeries.

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Laparoscopic-assisted one-stage resection of rectal cancer with synchronous liver metastasis utilizing a pfannenstiel incision

Cited by 3 publications

References 18 publications

Simultaneous Minimally Invasive Treatment of Colorectal Neoplasm with Synchronous Liver Metastasis

Simultaneous Minimally Invasive Treatment of Colorectal Neoplasm with Synchronous Liver Metastasis

Simultaneous Hybrid Laparoscopic Rectum Extirpation and Open Liver Resection in Case of Cancer With Synchronous Distant Metastases: A Case Report

The Italian Consensus on minimally invasive simultaneous resections for synchronous liver metastasis and primary colorectal cancer: A Delphi methodology

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